| Autor: |
Elisa Belén Cortés Zamora, Marta Mas Romero, María Teresa Tabernero Sahuquillo, Almudena Avendaño Céspedes, Fernando Andrés-Petrel, Cristina Gómez Ballesteros, Victoria Sánchez-Flor Alfaro, Rita López-Bru, Melisa López-Utiel, Sara Celaya Cifuentes, Laura Plaza Carmona, Borja Gil García, Ana Pérez Fernández-Rius, Rubén Alcantud Córcoles, Belén Roldán García, Luis Romero Rizos, Pedro Manuel Sánchez-Jurado, Carmen Luengo Márquez, Mariano Esbrí Víctor, Matilde León Ortiz, Gabriel Ariza Zafra, Elena Martín Sebastiá, Esther López Jiménez, Gema Paterna Mellinas, Esther Martínez-Sánchez, Alicia Noguerón García, María Fe Ruiz García, Rafael García-Molina, Juan de Dios Estrella Cazalla, Pedro Abizanda |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
The American Journal of Geriatric Psychiatry |
| ISSN: |
1545-7214 |
| Popis: |
Objective To analyze the psychological and functional sequelae of the COVID-19 pandemic among older adults living in long term care facilities (LTCFs). Design Cohort longitudinal study Setting ant participants A total of 215 residents ≥ 65 years without moderate-to-severe cognitive impairment, living in five LTCFs in Albacete (Spain). Measurements Baseline on-site data were collected between March - June 2020 and three-month follow-up between June to September 2020. Symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), and sleep disturbances were measured as psychological variables. Disability in basic activities of daily living (BADL), ambulation and frailty were assessed as functional variables. Differences were analyzed in relation to level of comorbidity and test positivity for COVID-19. Results At baseline, residents with COVID-19 presented worse functionality, higher frailty levels and malnutrition risk compared to non-COVID-19 residents. At three-month follow-up, higher rates of clinically significant depressive symptoms (57.7%), anxiety symptoms (29.3%), PTSD symptoms (19.1%) and sleep disturbances (93.0%) were found among residents regardless of COVID status. Thus, among 215 residents, 101 (47%) experienced a decline in BADL from baseline to the 3-month follow-up (median functional loss = 5 points in Barthel Index). In multivariate analyses, COVID-19 status did not explain either the functional or the ambulation loss. By contrast, residents with low comorbidity and COVID-19 presented higher PTSD symptoms (effect 2.58; 95% CI 0.93 to 4.23) and anxiety symptoms (effect 2.10; 95% CI 0.48 to 3.73) compared to the low comorbidity/non-COVID19 group. Conclusion COVID-19 pandemic was associated, after three-months, with high psychological impact in older adults in LTCFs., specifically with higher post-traumatic stress and anxiety symptoms. Functional decline did not differ in relation to COVID-19 status but could be related to isolation strategies used for pandemic control. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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